Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAMIE KEITH PETTUS, LPN
ActiveMR. JAMIE KEITH PETTUS, LPN is a Case Manager healthcare provider located in BENTON, Arkansas. NPI 1417141920 is currently active in the NPPES registry. Verify at CMS.
Case Manager · BENTON, AR
Registration Details
- NPI Number
- 1417141920
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2007 (18.946383205814 yrs)
- Last Updated
- Oct 12, 2009
- License
-
L38028 (AR)
Practice Information
- Address
-
6701 HIGHWAY 67 BLDG 70BENTON, AR, 720158909Browse AR providers · Browse ZIP 72015
- Phone
- 5013153344
- Fax
- 5013033186
- Primary Specialty
-
Case Manager
171M00000X
- Additional Specialty
- Case Manager
Other Case Manager Providers in BENTON, AR
| Name | Credential | NPI |
|---|---|---|
| MR. TERRANCE DEWAYNE JAMES | — | 1265529978 |
| MRS. BEVERLY GARRETT | — | 1104966258 |
| MRS. TAMI CABE | LPTN | 1982744009 |
| MRS. PAM FOWLER | LPN | 1396885430 |
| MRS. JANICE REYNOLDS | LPTN | 1124153663 |
| MARY CHISM | — | 1770618209 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.